Individual
DR. SIMON A. LOVASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5100 PEACE WAY, TAYLOR MILL, KY 41015-3506
(859) 491-2855
(859) 655-4395
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 491-2855
(859) 655-4395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100307620
—
KY
Enumeration date
06/25/2012
Last updated
10/18/2022
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